Original Article EFFECTIVENESS OF AUTOLOGOUS RECTUS SHEATH SLING ABDOMINAL PROCEDURE FOR UTERO-VAGINAL PROLAPSE

Abstract

Background: Uterovaginal prolapse is one of the most common presentations among women attending gynecological OPD. Various conservative procedures have been reported in the past, each with advantages and disadvantages.

Objective: To assess the effectiveness of autologous rectus sheath sling abdominal procedure for utero-vaginal prolapsed

Material and Methods: The current study was retrospective observational study carried out at the gynecology department, Indus Hospital Lahore. Sample size of this study includes all patients who had this surgery during 2018-2022. After the surgery, follow up was started from day 10th of surgery, second follow up was at 1 month after surgery and last was after 6 months to asses complication of procedure and effectiveness of procedure. Data was analyzed using SPSS 24.

Results: In the current study, totally 30 patients were enrolled. The mean age of the patients was 30(4.12) years. Based on degree of prolapsed, first degree of prolapse was observed in 18 (60%) patients while second degree of prolapse was observed in 12 (40%) patients. Success rate was observed in 100% patients (n=30) in immediate post-operatively and 2 patients got pregnant after the surgery and delivered normally in the same hospital without any difficulty and with the maintenance of the effectiveness of surgery. Two patients developed first degree uterovaginal prolapse after surgery who were initially having 2^nd degree prolapse. Severe blood loss, visceral organ injury was not observed in any enrolled patients while post operative fever and recurrence was observed in 2 (6.67%) and 2(6.67%) patients respectively.

Conclusion: The use of an autologous rectus sheath as a sling in uterine conservation surgery for uterovaginal prolapse is an efficient, safe, and cost-efficient approach, especially for younger women needing uterine conservation surgery.